MARY IMOGEN BOWERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

MARY IMOGEN

Last Name

BOWERS

Suffix

Business Name

MARY IMOGEN BOWERS MD

Original Issue Date

10/03/2025

Effective Date

10/03/2025

Expiration Date

07/31/2026

City

SHERIDAN

State

Zip

82801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2025